Paediatric Asthma

In April 2009, the bestpractice Mosaic Consultation Decision Support Childhood Asthma module was released to all general practitioners in New Zealand. As of November 2010, 3,331 general practitioners have access to the module.

The evaluation of the programme focused on the key data indicators of hospitalisations for asthma related diagnoses for children under 15 who were assessed with the bestpractice module, which was based on child-years at risk*.

The results of the evaluation showed that children with asthma who were managed with the bestpractice module were significantly less likely to be hospitalised with an asthma related diagnosis following their assessment with the bestpractice module than they were before (p=0.01)

Assessment:
Hospitalisations per 100 child-years for the cohort of children managed within the Valida Decision Support module before implementation and after.

Patient Action Plan:
The patient action plan is first created in black and white so it can be printed and given to patients at a consultation. A high quality, colour version
is then generated by the Mosaic Care system and sent to the patient's address.

Patient's name, name of patient's doctor and date the action plan was created.

Customised instructions for what to do when unwell.

Impact on General Practice

Professor Murray Tilyard, CEO of BPAC, has commented: “General Practice in New Zealand continues on a journey which has already seen us achieve a number of our initial goals including the promotion of General Practice itself, improvement in workforce morale and quality and clinical outcomes improvements for patients. We look forward with confidence to the next ten years as we continue to extend the scope and depth of the toolset we have to offer clinicians